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A Florida program guarantees support to families of severely brain booster supplement-damaged infants. Instead, parents have been forced to decide on between parenting and a paycheck. Poor communication and bureaucratic hurdles have made the situation worse. ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to obtain our largest tales as soon as they’re printed. This text was produced in partnership with the Miami Herald, which is a member of the ProPublica Local Reporting Network. JACKSONVILLE, Florida - Over two many years, Choi "Julie" Nguyen bounced from one low-paying job to the next: dishwasher, custodian, Mind Guard official site manicurist. As a single mom elevating two daughters and a profoundly disabled son, Nguyen could never hold a job for lengthy. Inevitably, the nurses Nguyen relied on to care for her son, Justin, would arrive late or not at all. Who would suction his mechanical airway, fill his feeding tube or flip him in bed to stop pressure sores? Who was going to sleep on the couch on the hospital when Justin had surgical procedure or fought life-threatening infections?



Ultimately, Nguyen faced the impossible alternative of holding down a job and paying the bills - or taking care of Justin and being continuously, hopelessly broke. Florida’s Birth-Related Neurological Injury Compensation Association had agreed to help Nguyen shoulder the crushing financial weight of raising a child whose oxygen deprivation at birth left him catastrophically brain clarity supplement-damaged. Under NICA’s personal guidelines, she shouldn't have had to choose between parenting and a paycheck. State lawmakers created NICA in 1988 to stem what the law’s advocates referred to as an exodus of obstetricians fleeing Florida and its excessive malpractice insurance premiums. The regulation holds down insurance coverage costs by shielding doctors from potentially ruinous malpractice awards for beginning injuries like Justin’s, which require a lifetime of medical care. It also forecloses lawsuits from dad and mom like Julie Nguyen. In trade, NICA agreed to compensate her declare in 1998 with $100,000 upfront and a pledge that future expenses for her son’s "medically crucial and reasonable" care would be paid. In October, Nguyen and her daughters, Jessica and Jennifer Pham, 32 and Mind Guard official site 31 respectively, realized - from Miami Herald reporters - that NICA gives many extra advantages than they ever knew had been available.



Though Jessica and Jennifer Pham lengthy had told Justin’s NICA caseworkers concerning the family’s struggles, they said NICA never offered, nor even talked about, the one factor that would have made the greatest distinction of their brother’s life: a steady paycheck for Nguyen for caring for her youngster. Now 24, Justin has lived far longer than docs predicted. It has not been a straightforward journey, Jennifer Pham stated. "It all the time felt like we were alone on this," she stated. NICA administrators would not comply with an interview but answered questions on Justin’s family by email after Jennifer Pham formally waived privacy protections. Administrators stated they weren’t aware Nguyen, 60, was having issues with in-house nursing because it was being paid for by Medicaid, brain support supplement a separate state insurer for low-income and disabled Floridians. "NICA also wouldn't have been independently conscious if Ms. Nguyen was having issue sustaining employment," the program added.



In 2004, NICA mentioned, the program mailed a benefits handbook to all households in the program - marking the first time in the program’s historical past that benefits have been spelled out in writing for them. Nguyen, a Vietnamese immigrant with a restricted command of English, could not learn it. Although 20% of Floridians had been born in one other country, Mind Guard official site according to the Census Bureau, the NICA handbook is printed solely in English. Jennifer Pham stated NICA completely knew the family was struggling with nurses, the insurers that administer Medicaid’s advantages and Justin’s constant hospitalizations - as mirrored in greater than 8,000 pages, obtained by the Herald and ProPublica, documenting NICA’s interactions with the household. In October 2020, sooner or later before she spoke with the Herald for the primary time, cognitive health supplement Jennifer Pham wrote to NICA pleading for help with nursing because the coronavirus pandemic made caregiving a problem. The youthful of the sisters had made comparable complaints to Justin’s caseworkers previously, together with in August 2017 when she had the staffing company send NICA a list of dates that nurses had missed their shifts, emails present.